River City Family Support

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RIVER CITY FAMILY SUPPORT

Practice address

10416 Spotted Fawn LN
Jacksonville, FL 32257-4778

Phone

(904) 887-1312

Fax

(904) 880-9451

NPI assigned

Oct 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Michael Fitzgibbon, LCSWNPI 1982795613

Title

Owner/Ceo

Phone

(904) 887-1312

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Michael Fitzgibbon, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1982795613
  Authorized official Same address or phone
• June G Harding, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1093721995
  NPD (past)
• Joan Kingston, LCSW

  • Mental Health Counselor
  • Middleburg, FL
  • NPI 1952450710
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1649459462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56112",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322416112",
            "telephone_number": "904-887-1312",
            "fax_number": "904-880-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10416 SPOTTED FAWN LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322574778",
            "telephone_number": "904-887-1312",
            "fax_number": "904-880-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY FAMILY SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "FITZGIBBON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "904-887-1312",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River City Chiropractic
• River City Chiropractic LLC (Accident Care and Wellness Chiropractic Clinic)
• River City Companionship LLC
• River City Counseling LLC
• River City Education Organization Inc
• River City Integrative Care
• River City Medical Associates Inc
• River City Medical Associates, Inc (River City Pain Physicians)
• River City Nephrology PLLC
• River City Pediatric Dentistry, P.a.

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.